Web-Based Simulation in Psychiatry Residency Training: A Pilot Study

Gorrindo, Tristan; Baer, Lee; Sanders, Kathy M.; Birnbaum, Robert; Fromson, John A.; Sutton-Skinner, Kelly; Romeo, Sarah; Beresin, Eugene V.

doi:10.1176/appi.ap.35.4.232

Cited by 34 publications

(14 citation statements)

References 20 publications

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“…Notably, in studies that have used more interactive [22] or multi-faceted [23][24][25] educational approaches, improvement in knowledge has been more homogenous among the various knowledge components tested.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an Educational Handbook in Improving Psychiatry Resident Knowledge of Second-Generation Antipsychotics

et al. 2014

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Implementation of an educational handbook can improve resident knowledge related to SGA use in children over the short-term. However, future research should be directed at the effectiveness of more interactive web-based formats in optimizing learning for male residents and ensuring more comprehensive knowledge uptake. While the introduction of an education handbook is the first step in addressing some of the barriers to metabolic monitoring, prospective longitudinal studies are required to determine whether such an intervention will ultimately improve prescriber adherence over the long-term.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of an Educational Handbook in Improving Psychiatry Resident Knowledge of Second-Generation Antipsychotics

et al. 2014

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“…Various VP systems include video combined with voice recognition, conversation with the VP, on-screen help, and learner feedback, as well as links to additional teaching materials [9][10][11]. The performance in VP and SP encounters correlate, providing evidence of validity for the VPs use as educational tools [10][11][12]. VPs may be particularly suitable for convergent learners who value technological applications of knowledge [23].…”

Section: Methods To Teach Suicide Risk Assessmentmentioning

confidence: 99%

“…In addition, today's education occurs in a distributed model, on geographically distant campuses, and it is delivered to millennial students who accept and seek technology as a teaching method [6]. While simulation technology was vastly adopted by emergency medicine, surgery and internal medicine for outcome-based teaching and competency assessment [7], its mental health teaching, and evaluation applications [8][9][10][11][12] are slow to be implemented. While teaching and practice of psychiatry are traditionally believed to be less amenable to simulation, the evidence that cognitive remediation for schizophrenia and computer-based cognitive-behavioral treatments for anxiety are effective and well accepted by patients is growing [13,14].…”

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confidence: 99%

The Use of Simulation to Teach Suicide Risk Assessment to Health Profession Trainees—Rationale, Methodology, and a Proof of Concept Demonstration with a Virtual Patient

et al. 2014

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Our study provides proof of concept that both VP and video module approaches are feasible for teaching students to assess suicide risk, and we present evidence about the role of active learning to improve communication skills. Depending on the learning context, interviewing a VP or observation of a videotaped interview can enhance the students' suicide risk assessment proficiency in an interview with a standardized patient. An interactive VP is a plausible modality to deliver basic concepts of suicide risk assessment to medical students, can facilitate individual preferences by providing easy access and portability, and has potential generalizability to other aspects of psychiatric training.

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“…[19] It was further recently clinically used in psychiatric consultation, [20] psychological and psychiatric assessment, [21,22] treatment and training. [23][24][25][26] Unquestionably, computer simulation is progressively gaining presence in the mental health field, but there has been no focus on patterns of hospital admission and utilization to search for optimized solutions to overcrowding. Our study attempts to address this by building a computer simulation of hospital admission based on statistical analysis of the hospital's historical admission data.…”

Section: Introduction 11 Backgroundmentioning

confidence: 99%

A new approach to over-bedding in American healthcare: Statistical analysis and computer simulation of patient admission in a West Virginia state psychiatric hospital

Zheng

Nickasch

et al. 2015

JHA

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Objective: To identify the factors that have a substantial impact on a West Virginia state psychiatric hospital's bed occupancy by investigating historical admission data, and developing a computer simulation system to give insight into modifiable variables that reduce admission numbers, therefore to provide solutions to the over-bedding problem. Methods: Quantitative review of hospital admission data from January 2007 to November 2013 allowed for the construction of a simulation model to estimate the inpatient flow. The system's performance was evaluated after alteration of selected parameters and variables. Results: The study revealed significant regional differences in admission numbers. The civil commitments and psychiatric hospitalizations do not directly correlate with county coverage populations. Some counties sent disproportionately more patients. Patients' length of stay also varied among geographical areas. Re-admission was not uncommon. Using the percentage of diversion as the outcome measurement, the computer simulation model reconstructed the admission scenario multiple times, predicting that the diversion rate can be significantly reduced if certain variables (hospital capacity, patient arrivals from top referring counties, and patient length of stay) are changed. Conclusions: Involuntary admissions were unevenly distributed according to geography and population in the studied American state psychiatric hospital. Using historical data, computer simulations can model hospital admission systems to evaluate performance and predict needs for change.

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Web-Based Simulation in Psychiatry Residency Training: A Pilot Study

Abstract: The CSAT was an effective educational tool in simulating patient-physician interactions, and it may serve as a model for use of other web-based simulations to augment traditional teaching methods in residency education.

Cited by 34 publications

References 20 publications

Effectiveness of an Educational Handbook in Improving Psychiatry Resident Knowledge of Second-Generation Antipsychotics

Effectiveness of an Educational Handbook in Improving Psychiatry Resident Knowledge of Second-Generation Antipsychotics

The Use of Simulation to Teach Suicide Risk Assessment to Health Profession Trainees—Rationale, Methodology, and a Proof of Concept Demonstration with a Virtual Patient

A new approach to over-bedding in American healthcare: Statistical analysis and computer simulation of patient admission in a West Virginia state psychiatric hospital

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